DIMENSION? XPAND CLINICAL CHEMISTRY SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional,u report with the FDA on 2016-02-24 for DIMENSION? XPAND CLINICAL CHEMISTRY SYSTEM manufactured by Siemens Healthcare Diagnostics Inc- Brookfield.

Event Text Entries

[38984469] Analysis of the instrument and instrument data indicate that cause for the discrepant high siro result was a problem with the r2 reagent transfer arm. A siemens healthcare field service engineer was dispatched to the site and replaced r2 reagent transfer arm and checked probe alignments to resolve the issue. The instrument is performing within specifications. No further evaluation of the device is required.
Patient Sequence No: 1, Text Type: N, H10


[38984470] A high result on siro was questioned by the physician. The following day, the same sample was diluted 1:5 and a lower result was obtained. A new draw was performed and the siro result matched the diluted sample result it is unknown if patient treatment was altered or prescribed on the basis of the discrepant high siro result. There was no report of adverse health consequences as a result of the discrepant high siro result.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1226181-2016-00101
MDR Report Key5458373
Report SourceFOREIGN,HEALTH PROFESSIONAL,U
Date Received2016-02-24
Date of Report2016-02-01
Date of Event2016-01-28
Date Mfgr Received2016-02-01
Date Added to Maude2016-02-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactEDWARD SZYMANSKI
Manufacturer StreetGLASGOW BUSINESS COMMUNITY PO BOX 6101
Manufacturer CityNEWARK DE 197146101
Manufacturer CountryUS
Manufacturer Postal197146101
Manufacturer Phone3026317672
Manufacturer G1SIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer Street101 SILVERMINE ROAD
Manufacturer CityBROOKFIELD CT 06804
Manufacturer CountryUS
Manufacturer Postal Code06804
Single Use3
Remedial ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameDIMENSION? XPAND CLINICAL CHEMISTRY SYSTEM
Generic NameDIMENSION? XPAND PLUS WITH HM INTERNATIONAL
Product CodeNRP
Date Received2016-02-24
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer Address101 SILVERMINE ROAD BROOKFIELD CT 06804 US 06804

Device Sequence Number: 1

Brand NameDIMENSION? XPAND CLINICAL CHEMISTRY SYSTEM
Generic NameDIMENSION? XPAND PLUS WITH HM INTERNATIONAL
Product CodeJJE
Date Received2016-02-24
OperatorMEDICAL TECHNOLOGIST
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSIEMENS HEALTHCARE DIAGNOSTICS INC- BROOKFIELD
Manufacturer Address101 SILVERMINE ROAD BROOKFIELD CT 06804 US 06804


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-24

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